Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.85 / $3,325.00 / $10,635.00	Facility		$1,030.85	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.03 / $770.61 / $1,514.33	Professional		$675.03	$770.61	$1,514.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.27 / $700.75 / $1,193.66	Professional		$492.27	$700.75	$1,193.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.43 / $981.10 / $1,303.02	Facility		$764.43	$981.10	$1,303.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.34 / $1,144.60 / $127,498.73	Professional		$899.34	$1,144.60	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.51 / $1,034.38 / $1,554.31	Professional		$717.51	$1,034.38	$1,554.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $973.11 / $973.11 / $973.11	Facility		$973.11	$973.11	$973.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $760.33 / $1,036.54 / $1,554.31	Professional		$760.33	$1,036.54	$1,554.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $663.23 / $1,067.74	Professional		$71.09	$663.23	$1,067.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.30 / $951.33 / $1,560.88	Professional		$607.30	$951.33	$1,560.88